- Mount Sinai Health System (New York, NY)
- …The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. MSHP is a fast growing business ... the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1)...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Mount Sinai Health System (New York, NY)
- …is responsible for evaluating and driving performance for value-based contracts including Medicare , Medicaid and commercial arrangements. The Senior Director is ... for value-based contracts inclusive of risk and opportunity identification for Medicare , Medicaid and Commercial arrangements. 2. Develop strategies and alternatives… more
- City of New York (New York, NY)
- …for (1) Administrative Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee the management, administration, ... and data sharing methods and/or tools that drive DSS-AO operations , and other Agency program areas (eg FIA, MICSA,...work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of… more
- Option Care Health (Ridgewood, NY)
- …care is maintained. The Regional Manager of nursing is responsible for assisting the Sr./ Director , Operations and/or Area Director of Nursing in meeting ... with the pharmacy manager in the absence of the Sr./ Director , Operations . Serves as the Administrator and/or... of Nursing of the home health agency per Medicare Conditions of Participation definition. Serves as Facility Infection… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …a fast-paced environment + Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct Reports: Director Training and ... The Training Coordinator works directly with Trainer/Auditors and reports to the Director of Training and Development. The primary objective is to provide overall… more
- Hackensack Meridian Health (Eatontown, NJ)
- …and pharmacy laws and regulations. This includes managing revenue cycle operations and maintaining comprehensive knowledge of payer relations, claims adjudication, ... with new vendor contracting, and re-credentialing as needed with PBMs, Medicare , Medicaid, and other payers/entities. **Responsibilities** A day in the life… more
- VNS Health (Manhattan, NY)
- …for VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Fully Integrated Dual Advantage (FIDA) and Select Health. Ensures ... and accuracy standards are met. Coordinates efficient functioning of day-to-day operations according to defined processes and procedures. Creates and maintains… more
- VNS Health (Manhattan, NY)
- …Plans is seeking a dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals processes. You will play a crucial role in ... staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines. * Ensure Compliance: Stay… more
- City of New York (New York, NY)
- …Manager who will, under the general direction of the Excess Income/Surplus Director , with wide latitude for the exercise of independent initiative and judgment ... Excess Income's Under-care renewals, Pay-In, e-Faxe, Provider Bills, Constituent inquiries, Medicare Saving Program (MSP) and Pooled Trust units. Receive cases from… more
- Bristol Myers Squibb (New York, NY)
- …within the assigned territory. The CMAM will report into the East Region Director , Cell Therapy Market Access Managers. The individual is required to achieve all ... Therapy Account Management Team, Payer Account Executives, Cell Therapy Patient Operations , Cell Therapy Patient Support Services, Cell Therapy Access Strategy Team,… more
- Mount Sinai Health System (New York, NY)
- …of experience in a clinical healthcare environment. Experience in clinical operations and/or experience working in performance improvement, patient safety, risk ... - MSH, Mount Sinai Hospital **Responsibilities** In collaboration with Senior Director of Regulatory Affairs, and other system leadership, directs and facilitates… more